Healthcare Provider Details

I. General information

NPI: 1750229175
Provider Name (Legal Business Name): THRIVE COLLECTIVE METROWEST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CHURCH ST
WESTBOROUGH MA
01581-1904
US

IV. Provider business mailing address

23 UPTON ST UNIT 12
GRAFTON MA
01519-0340
US

V. Phone/Fax

Practice location:
  • Phone: 508-556-7864
  • Fax:
Mailing address:
  • Phone: 508-556-7864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: RENE KASHMIRI
Title or Position: OWNER
Credential: LMHC
Phone: 508-556-7864